Table of Content

01 October 2025, Volume 41 Issue 19

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Treatise

Analysis of monitoring results of major occupational disease in Pidu District of Chengdu in 2023

CAO Yingqiong, MEI Limin

2025, 41(19):  2593-2598. 

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Objective To understand the occupational health monitoring of workers exposed to major occupational disease hazards in Pidu District of Chengdu in 2023,and to provide a reference scientific basis for occupational disease prevention and control measures in the jurisdiction. Methods Collect information on occupational health examination and occupational disease reports for major occupational disease hazards from January 1 to December 31,2023,and organize and analyze the collected information. Results In 2023,972 enterprises in Pidu District of Chengdu conducted occupational health examinations on 17 740 workers who were exposed to occupational hazards,cumulative total of 127 kinds of occupational disease hazards,detection of suspected occupational disease 7 people,occupational contraindications 78 people. Among workers exposed to different types of dusts,2 cases,1 case,and 1 case of pneumoconiosis-like changes were detected in silica dust,welding fume,and other dusts,with detection rates of 0.43%,0.07%,and 0.01%,respectively. The detection rates of pulmonary ventilation dysfunction in silica dust,coal dust（coal silica dust）,asbestos dust,cement dust,welding fume,and other dusts were 9.64%,5.57%,13.56%,3.83%,8.67% and 11.74%,respectively. The detection rates of leukocyte,neutrophil and platelet count abnormalities in benzene-exposed workers were 3.36%,2.63% and 1.21%,respectively,and the detection rate of binaural high-frequency hearing threshold ≥40 dB in noise-exposed workers was 5.31%. In 2023,totally 12 confirmed cases of occupational diseases were reported in Pidu District of Chengdu,including 7 cases of occupational pneumoconiosis（6 cases of silicosis and 1 case of foundry pneumoconiosis） and 5 cases of occupational noise deafness. Conclusion Pneumoconiosis,occupational noise deafness are the key occupational diseases in Pidu District of Chengdu. Among the different types of enterprise distribution,manufacturing and construction are the key monitoring industries,and private and micro or small enterprises are the key control targets for occupational disease prevention and control.

Analysis of surveillance results of key occupational diseases in Handan from 2019 to 2023

YAN Yanan, JIANG Lei, LU Ruiling

2025, 41(19):  2599-2603. 

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Objective To analyze the monitoring data of key occupational diseases in Handan in recent years,so as to provide scientific basis for formulating the prevention and control policy of key occupational diseases in Handan. Methods The monitoring data of key occupational diseases in Handan from 2019 to 2023 were collected through the "Occupational Disease and Health Hazard Factors Monitoring System" of Chinese Center for Disease Control and Prevention,and the results of occupational health examination and reports of new cases of occupational diseases were described and analyzed. Results A total of 225 958 cases of occupational health examination of key monitored occupational disease workers were collected in Handan. The detection rates of occupational contraindications and suspected occupational diseases showed an increasing trend year by year,and the differences were statistically significant（χ²=147.914,36.444,both P<0.01）. There were statistically significant differences in the special examination of workers exposed to dust,noise and benzene in different years（all P<0.05）. There was a statistically significant difference in the change rate of chest X-ray pneumoconiosis samples among workers exposed to dust in different years （χ²=38.380,P<0.01）. The differences in the abnormal rates of FVC%,FEV1.0% rate,and FEV1.0/FVC% of lung function were statistically significant（χ²=352.004,86.439,460.425,all P<0.01）. There was a statistically significant difference in the rate of average binaural high-frequency hearing threshold ≥40 dB in different years（χ²=19.650,P<0.01）. There were statistically significant differences in neutrophil,platelet,and white blood cell counts between different years（χ²=128.798,12.082,65.321,all P<0.01）. The major monitored occupational disease new cases in the 5-year report were mainly coal workers' pneumoconiosis（85.84%） and noise deafness（8.58%）. Conclusion Among the major occupational hazard factors in Handan,the number of people exposed to dust and noise is more,which causes serious harm consequences,but the harm of benzene can not be ignored. We should focus on strengthening the supervision and management of enterprises with dust and noise.

Evaluation of radiation protection control effect of a 10 MeV electron accelerator industrial irradiation construction project in Guangxi

CHEN Yongyong, SHI Yanghai, WANG Ping, SHI Yuhua, LU Yuansheng

2025, 41(19):  2604-2608. 

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Objective To evaluate the radiation protection control effect of a 10 MeV electron accelerator construction project for industrial irradiation in a company in Guangxi,and to ensure the radiation safety and health of the radiation workers in the construction unit. Methods In January 2024,the evaluation unit carried out on-site inspection of its industrial irradiation workplace according to the current laws,regulations,rules,normative documents and technical standards,and collected project data to comprehensively evaluate the radiation protection control effect of the construction project. Results During normal operation under rated working conditions,the ambient dose equivalent rate of X、γ ray measured 30 cm outside the shielding walls and entrances/exits of the accelerator room and the irradiation room and the entrance and exit was from 0.05 to 0.46 μSv/h,and the ambient dose equivalent rate of neutron was not detected,which met the limit requirements of GBZ 141-2002 "protection and detection specifications for γ-ray and electron beam irradiation devices". The occupational radiation dose potentially received by the workers over one year was approximately 0.98 mSv,which was less than the annual dose management target value of 5 mSv. Conclusion The radiological protection control measures during normal production operations meet the legal,regulatory,and standard requirements for occupational disease prevention and treatment at both the national and local levels. Therefore,the construction project satisfies the conditions for completion and acceptance.

Impact of uncivilized behavior in the workplace and psychological resilience of emergency department nurses on occupational burnout

XU Xueqin, CHEN Yuanyuan, ZHOU Fen

2025, 41(19):  2609-2613. 

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Objective To investigate the status of uncivilized behavior in the workplace,psychological resilience,and occupational burnout among emergency department nurses,and to explore the impact of uncivilized behavior in the workplace and psychological resilience on occupational burnout. Methods From April to May 2024,a convenience sampling method was used to survey 185 emergency department nurses from 6 grade-A tertiary hospitals in Yancheng City using the workplace uncivilized behavior scale,psychological resilience scale,and occupational burnout scale,and the data were analyzed. Results The score for uncivilized behavior in the workplace of emergency department nurses was（95.47±11.64）points,psychological resilience was（87.28±12.74）points and occupational burnout was（63.78±13.46）points. Univariate analysis showed that age,years of work experience,professional title,monthly income,and night shift work were the influencing factors of occupational burnout among emergency department nurses（all P<0.05）. The workplace uncivilized behavior of emergency department nurses was positively correlated with occupational burnout（r=0.618,P<0.01）,while psychological resilience was negatively correlated with occupational burnout（r=-0.486,P<0.01）. The workplace uncivilized behavior was negatively correlated with psychological resilience（r= -0.544,P<0.01）. The psychological resilience of emergency department nurses partially mediated the relationship between workplace uncivilized behavior and occupational burnout,with a mediation effect of 0.259,accounting for 42.18% of the total effect. Conclusion Emergency department nurses have a high level of uncivilized behavior in the workplace and occupational burnout. Psychological resilience plays a partial mediating role between uncivilized behavior in the workplace and occupational burnout. Improving psychological resilience is beneficial for alleviating the impact of uncivilized behavior in the workplace on occupational burnout.

Monitoring and analysis of major pollution factors of fish in Beibu Gulf

WANG Shiqiong, LU Yuning, WEI Yang, LYU Zhongqi, MA Lingling, SHI Xiangdong

2025, 41(19):  2614-2617. 

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Objective To understand the main pollution factors and distribution characteristics of fish in four cities of Beibu Gulf,provide scientific basis for later monitoring and control. Methods From 2020 to 2022,the monitoring of heavy metals,drug residues and pathogenic microorganisms in live fish（freshwater and saltwater） was carried out in four cities in the Beibu Gulf（Nanning City, Qinzhou City,Beihai City,and Fangchenggang City）,and the data were analyzed. Results The excess rate of cadmium in fish in four cities of Beibu Gulf was 2.44%（12/491）,and the difference was statistically significant（P<0.05）. The excess rate of cadmium in freshwater fish and saltwater fish was 1.21%（3/248） and 3.70%（9/243） respectively,and the difference was not statistically significant（P>0.05）. The excess rate of lead was 0.41%（2/491）. The detection rate of total mercury was 1.63%（8/491）. Total arsenic was detected in both freshwater and marine fish. The detection rates of chloramphenicol and cryptochrome malachite green were 2.04%（10/491） and 0.20%（1/491） respectively. The total detection rates of Vibrio parahaemolyticus and Vibrio alginolyticus were 25.71%（163/634） and 31.07%（197/634） respectively. The detection rate of Vibrio parahaemolyticus in seawater fish was 29.13%（104/357）,which was higher than that in freshwater fish[21.30%（59/277）],with a statistically significant difference（χ²=5.009,P<0.05）. The detection rate of Vibrio alginolyticus in seawater fish was 38.66%（138/357）,which was higher than that in freshwater fish[21.30%（59/277）],with a statistically significant difference（χ²=21.134,P<0.05）. Conclusion The pollution levels of heavy metal,drug residues, and pathogenic microorganisms in fish in four cities of Beibu Gulf are all below the national limit standard or health risk within the acceptable range from 2020 to 2022,but supervision should be strengthened to ensure food safety.

Correlation analysis between occupational burnout and self-disclosure among burn plastic surgeons

XUE Le, CAO Jingjing, HUO Junyi, ZHAO Yuan, DUAN Cezhong, ZHAO Zhuowei

2025, 41(19):  2618-2621. 

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Objective To explore the current status of occupational burnout and self-disclosure among burn plastic surgeons in grade-A tertiary hospitals in Xi'an,and analyze the correlation between the two. Method From June to July 2024,a convenience sampling method was used to select 104 physicians from burn and plastic surgery departments of grade-A tertiary hospitals in Xi'an as the survey subjects. A general information survey,Maslach burnout inventory-human services survey（MBI-HSS）,and distress disclosure index（DDI） were used for the survey,and the data were analyzed. Result The total score of occupational burnout among 104 burn plastic surgeons was （55.12±13.08）points,the score of emotional exhaustion dimension was （22.09±10.83）points,the score of dehumanization dimension was （12.09±6.42）points,and the score of low personal achievement dimension was （20.94±10.60）points. The self-disclosure score was （37.17±9.30）points. The total score of occupational burnout,emotional exhaustion,and dehumanization dimensions of burn plastic surgeons were negatively correlated with self-disclosure（r=-0.532, -0.679,-0.433,all P<0.01）,and the low personal achievement dimension score was positively correlated with self-disclosure（r=0.300, P<0.01）. Conclusion The occupational burnout and self-disclosure scores of burn plastic surgeons in grade-A tertiary hospitals in Xi'an City are at a moderate level and need to be improved. Proactively providing self-disclosure to burn plastic surgeons can effectively reduce occupational burnout.

Analysis on prevalence and influencing factors of obesity among the elderly in a district of Urumqi

TIAN Yuan, ZHAO E, SUN Gaofeng, LI Chao, WANG Yingjie

2025, 41(19):  2622-2628. 

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Objective To investigate the epidemic characteristics and influencing factors of different body mass index（BMI） and central obesity among the elderly aged 65 and above in Urumqi,and to analyze the influencing factors,in order to provide a basis for preventing overweight and obesity in the elderly. Methods From June 2023 to June 2024,a stratified multi-stage random sampling method was used to collect 4 158 residents aged 65 and above from a hospital and two health service centers in a district of Urumqi. Questionnaires were carried out and elderly people with different BMI were detected to collect the central obesity status,demographic characteristics,disease status,and lifestyle,etc. The factors influencing the occurrence of overweight,obesity and central obesity in the elderly were analyzed. Results Through the statistical analysis of 4 158 elderly people,the number of overweight people was 1 738,accounting for 41.7% of the total number. The number of obese people was 842,accounting for 20.3% of the total number. The number of people suffering from central obesity was 2 387,accounting for 57.4%. Gender,age,hypertension,abnormal blood glucose and dyslipidemia were the influencing factors of overweight,the risk of overweight in women was lower than that in men（OR<1）,the risk of overweight in adults aged 75-<85 and ≥85 years were lower than that in adults aged 65-<75 years（OR<1）,and the risk of overweight in those with hypertension,blood glucose and dyslipidemia was higher than that in those with normal blood pressure,blood lipid and blood glucose（OR>1）. Gender,high blood pressure,exercise frequency,abnormal blood glucose and dyslipidemia were the influencing factors of obesity and central obesity in the elderly. Among them,the risk of obesity and central obesity in women was higher than that in men（OR>1）,the risk of obesity and central obesity in the elderly with hypertension,blood glucose and dyslipidemia was higher than that in the elderly with normal blood pressure,blood lipid and blood glucose（OR>1）,the risk of obesity and central obesity in the elderly who exercised once a week or more was lower than that in the elderly who did not exercise（OR<1）. Conclusion The overweight,obesity and central obesity of the elderly in a district of Urumqi are serious. Special attention should be paid to women,those with hypertension,abnormal blood glucose,and dyslipidemia levels,and appropriate exercise should be taken. Health and medical institutions should increase their publicity efforts,and elderly people need to pay attention to and intervene in unhealthy lifestyles in their daily lives to promote healthy aging.

Current status and correlation of social support,post-traumatic growth,and work alienation among in-service uremic workers in Beijing

XU Xiujuan, SUN Xiaodan, LYU Qiuying, DOU Weizi, WANG Zhan

2025, 41(19):  2629-2634. 

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Objective To investigate the current situation and correlation of social support,post-traumatic growth,and work alienation among in-service uremic workers in Beijing,and to provide reference for improving the physical and mental health of the in-service uremic workers group. Methods From January 2023 to June 2024,a total of 216 in-service uremic workers admitted to Beijing Rehabilitation Hospital Affiliated to Capital Medical University were selected as the research subjects. The general information questionnaire,social support rating scale,post-traumatic growth inventory,and work alienation scale were used for survey and the data were analyzed. Results The scores of social support,post-traumatic growth and work alienation among 216 in-service uremic workers were （42.37±5.55）,（62.23±12.13） and （64.76±14.41）points. Social support was positively correlated with post-traumatic growth in in-service uremic workers（r=0.577,P<0.01）,negatively correlated with work alienation（r=-0.548,P<0.01）,and post-traumatic growth was negatively correlated with work alienation（r=-0.585,P<0.01）. Mediation analysis revealed that post-traumatic growth played a mediating role between social support and work alienation in in-service uremic workers,with a mediation effect value of -0.283,accounting for 45.6% of the total effect. Conclusion Social support can not only directly reduce the sense of work alienation among in-service uremic workers,but also indirectly affect their sense of work alienation by enhancing post-traumatic growth.

Mediating effect of coping style on long working hours and occupational stress of female workers in telecommunication service industry

WANG Zihuan, YU Changyan, LI Xuefei, YU Guixin, YU Wenlan, YE Yan

2025, 41(19):  2635-2639. 

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Objective To understand the occupational stress situation and influencing factors of female workers in the telecommunications service industry,explore the impact of coping style on occupational stress,and propose targeted suggestions to help female workers reduce occupational stress. Methods From July to September 2020,a multi-stage cluster sampling method was used to investigate the occupational stress status of female workers in the telecommunications service industry in Hebei Province through a self-filled questionnaire. The survey data were analyzed through group comparison and linear regression methods. Results A total of 1 207 valid questionnaires were collected. The average age of the respondents was （36.89±5.53）years old. The total score M（P₂₅,P₇₅） of the occupational stress screening table was 26（22,29）points. There was a negative correlation between coping style and occupational stress scores（r=0.346,P<0.01）. There was a statistically significant difference in the scores of coping style among female workers in different positions（χ²=21.551,P<0.01）,the distribution of scores was compared and the difference was statistically significant（χ²=12.061,P<0.01）. The occupational stress scores of female workers in different age groups, individual annual income,positions,weekly working hours,exposure to noise and non-ionizing radiation were compared,and the differences were statistically significant（all P<0.05）. The total score of coping style was a negative influencing factor of the total score of stress,while the noise exposure,non-ionizing radiation exposure and weekly working hours ≥50 hours were the positive influencing factors of stress score（β=0.159,0.067,0.144,all P<0.01）. When other independent variables remained constant,for every 1 point increase in the total score of coping style,the total score of the stress scale decreases by 0.463 points. Coping style had mediating effect on female workers' occupational stress when their weekly working hours were ≥50 hours,and the mediating effect accounted for 14.05%. Conclusion Coping style plays mediating effect between female workers' long working hours and occupational stress. Reasonable work system,reducing noise and non-ionizing radiation exposure,and adapting positive coping style can help female workers to reduce occupational stress.

Analysis on current situation and influencing factors of turnover intention of urological nurses in 6 tertiary hospitals in Sichuan Province

CHENG Guo, ZHAO Hongping, GUAN Yin, ZONG Ping

2025, 41(19):  2640-2644. 

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Objective To explore the current status and influencing factors of turnover intention among urological surgical nurses in six tertiary hospitals in Sichuan Province. Methods A convenience sampling method was employed to select 231 urological surgical nurses from six tertiary hospitals in Sichuan Province from April to May 2024 as research subjects. The investigation was conducted using a general information questionnaire,the job embeddedness scale,the nursing vocational commitment scale,and the turnover intention scale,and the data were analyzed. Results The total score for job embeddedness among urological surgical nurses was （22.86±2.57）points,the total score for vocational commitment was （70.69±1.69）points,and the score for turnover intention was （17.19±3.62）points. There was a positive correlation between vocational commitment and job embeddedness（r=0.558,P<0.01）,and a negative correlation with turnover intention（r=-0.452,P<0.01）. There was a negative correlation between job embeddedness and turnover intention（r=-0.564,P<0.01）. Multifactor analysis indicated that age,education level,professional title,job embeddedness, and vocational commitment were all factors influencing turnover intention among urological surgical nurses（all P<0.01）. Conclusion The turnover intention of urological surgical nursing staff in tertiary hospitals in Sichuan Province is at a moderate-to-high level,while vocational commitment and job embeddedness are at a moderate level. Enhancing job embeddedness and vocational commitment among urological surgical nurses can help reduce turnover intention.

Mediating role of cognitive flexibility between job satisfaction and social support among rehabilitation physicians in Heilongjiang Province

XIE Xinyi, HUO Yuan

2025, 41(19):  2645-2649. 

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Objective To investigate the mediating role of cognitive flexibility between social support and job satisfaction among rehabilitation physicians. Methods From February to May 2024,a convenience sampling method was used to select 232 rehabilitation physicians from various hospitals in Heilongjiang Province. Data were collected using a general information questionnaire,the social support rating scale,the cognitive flexibility inventory,and a job satisfaction scale,and were subsequently analyzed. Results The social support score of rehabilitation physicians in Heilongjiang Province was （38.13±8.89）points,the cognitive flexibility score was （70.02±17.55）points,and the job satisfaction score was （3.57±1.25）points,there were significantly positive correlations between them（r=0.756-0.886,all P<0.01）. Social support positively predicted cognitive flexibility,and cognitive flexibility partially mediated the relationship between social support and job satisfaction,accounting for 49.8% of the effect. Conclusion Cognitive flexibility mediates the relationship between social support and job satisfaction among rehabilitation physicians. Enhancing cognitive flexibility is conducive to improving job satisfaction.

Research on the current situation and influencing factors of workplace bullying among standardized training nurses in Sichuan Province

HUANG Rong, RAN Xu, TANG Chenxi, QING Yan

2025, 41(19):  2650-2654. 

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Objective To reveal the phenomenon and causes of bullying experienced by standardized training nurses in the workplace in Sichuan Province,and to provide reference for effective prevention and intervention of workplace bullying behavior. Method A convenience sampling method was used to select 648 standardized nurses from eight grade-A tertiary hospitals in Sichuan Province. A Chinese version of the negative behavior questionnaire was used for the survey,and the data were analyzed. Results The total score of workplace bullying among standardized training nurses in Sichuan Province was （28.1±8.99）points. Totally 267 people（41.2%） had experienced workplace bullying in the past 6 months,of which 3 people（0.5%） had experienced severe bullying. Univariate analysis showed that there were statistically significant differences in workplace bullying among standardized training nurses of different ages,educational backgrounds,average weekly working hours,passion for nursing work,colleague relationships,average monthly income,and work experience before formal employment（all P<0.05）. Multiple stepwise regression analysis showed that average weekly working hours,passion for nursing work,and harmonious relationships with colleagues were the main influencing factors for standardized training nurses to feel workplace bullying（all P<0.05）. Conclusion The perception rate of workplace bullying among standardized training nurses in Sichuan Province is relatively high,which should be closely monitored by nursing managers and educators. Practical and feasible preventive measures should be taken,and targeted educational activities should be carried out to reduce the incidence of workplace bullying incidents.

Research on the quality of life and influencing factors of workers in thermal power generation industry in Shanxi Province

SHEN Xinyu, ZHANG Wenzhen, QIN Wenyan, MA Xiaodong, LI Xiuping, GUO Zhixi

2025, 41(19):  2655-2660. 

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Objective To understand the quality of life of workers in the thermal power industry in Shanxi Province and its influencing factors,and to provide a scientific basis for further improving the quality of workers' living and carrying out intervention activities. Methods From 2023 to 2024,according to the multi-stage sampling method,899 front-line workers in 19 thermal power generation industries in Shanxi Province were randomly selected using the self-made general situation questionnaire and the quality of life scale（WHOQOL-BREF Chinese version）,and the quality of life of thermal workers was evaluated from four dimensions：physiological,psychological,social and environmental,along with self-assessment scores. Results Among the 899 respondents,420（46.7%） felt that their survival quality was good or very good,and 541（60.2%） were satisfied or very satisfied with their health. The quality of life physiology,psychology,social relations,environment and self-assessment scores M（P₂₅,P₇₅） were 71.43（60.71,78.57）,66.67（58.33,79.17）,75.00（58.33,75.00）,59.38（53.12,68.75） and 89.00（80.00,90.00）points,respectively. The four dimensions of quality of life were positively correlated with self-assessment scores（r=0.487-0.542,all P<0.01）. Gender,education level,average monthly income,weekly physical exercise frequency,whether there were respiratory diseases,whether to actively acquire health knowledge,types of exposure to harmful factors,satisfaction with unit welfare and other factors were related to one or more areas or self-assessment scores of the quality of life,and the differences in scores in each dimension were statistically significant（all P<0.05）. Conclusion The quality of life of workers in the thermal power generation industry in Shanxi Province needs to be further improved,and the quality of life of workers can be improved by improving the income level of workers and enterprise welfare,improving the working environment,and arranging working hours reasonably.

Latent profile analysis of mental health and empowerment management strategies among nurses in traditional Chinese medicine hospitals in Hunan Province

LAN Xiangzhou, NI Juan, LI Lingjia, ZENG Weike, CHEN Miao, CHEN Qing

2025, 41(19):  2661-2667. 

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Objective To understand the current status of psychological empowerment among nurses in traditional Chinese medicine hospitals in Hunan Province,and analyze their latent profiles and management strategies. Methods A stratified random sampling method was used to randomly select nurses from 3 tertiary hospitals and 2 secondary hospitals in all traditional Chinese medicine hospitals in Hunan Province from June to July 2024 as survey subjects. A general information questionnaire,the psychological empowerment scale（PES）,the Chinese version of the compassion fatigue scale（CFS）,and the nurses' moral distress scale（MDS） were used for the survey,and the data were analyzed. Results A total of 1 012 nurses from traditional Chinese medicine hospitals were ultimately included. The score for nurses psychological empowerment was （44.92±8.29）points,the score for the Chinese version of the CFS was （94.12±14.94）points,and the score for nurses MDS was （48.86±40.75）points. The psychological empowerment of nurses in traditional Chinese medicine hospitals could be divided into three latent profiles："potential activation group"（17.9%）,"effectiveness balance group"（58.0%）,and "autonomy driven group"（24.1%）. Multivariate logistic regression results showed that,using the "autonomy driven group" as the reference group,levels of compassion fatigue（OR=0.928,P<0.01）,levels of ethical dilemmas（OR=1.025,P<0.01）,and years of service of 0-<4 years（OR=4.127,P<0.05）,as well as overtime frequency of 0 time in the past month（OR=0.227,P<0.01）,were predictive factors for the "potential activation group";Levels of compassion fatigue（OR=0.965,P<0.01）,levels of ethical dilemmas（OR=1.018,P<0.01）,the professional title of nurse practitioner（OR=2.396,P<0.05）,and overtime frequency of 0 time in the past month（OR=0.304,P<0.01） were predictive factors for the "effectiveness balance group". Conclusion The psychological empowerment of nurses in traditional Chinese medicine hospitals in Hunan Province is at a moderate level and can be divided into three latent profile categories. Hospital administrators should provide corresponding work arrangements and supportive management strategies for nurses of different categories,in order to enhance their psychological empowerment level and improve overall nursing quality and patient satisfaction.

Study on the status quo and influencing factors of health information literacy of hospitalized patients with chronic diseases in Haikou City

WANG Xiaoshan, YE Lixiang, CHEN Li, LI Minxiang, CAI Xiaoxia

2025, 41(19):  2668-2672. 

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Objective To understand the status quo and influencing factors of health information literacy of hospitalized patients with chronic diseases in Haikou City,and to analyze its influencing factors in order to better improve the level of health information literacy among patients. Methods A convenience sampling method was used to survey 291 inpatients in the internal medicine ward of a grade-A tertiary hospital in Haikou from November 2022 to April 2023,and the data were analyzed. Results The total score of health information literacy of hospitalized patients with chronic diseases in Haikou was （87.35±13.95）points,including health information cognition（14.21±2.05）points,health information acquisition（34.05±9.80）points,health information evaluation（13.40±2.12）points,health information application（12.43±2.55）points,and health information ethics（13.35±2.15）points. The scores of the five dimensions from high to low were health information awareness,health information ethics,health information application,and health information acquisition,and the lowest score was health information evaluation. All single factors were included in the linear regression equation analysis,and the results showed that gender,family residence,education level,medical payment method and the number of health education received by medical staff were the main influencing factors of health information literacy of patients with chronic diseases（all P<0.05）. Conclusion The health information literacy of hospitalized patients with chronic diseases in Haikou City has the phenomenon of "separation of knowledge and evaluation",and the level of health information literacy needs to be improved. Medical staff should focus on male,living in rural areas,patients with low education level and no employee medical insurance,and carry out various forms of targeted health education and health service projects according to the characteristics of patients,so as to help inpatients with chronic diseases establish a correct health concept,establish a beneficial lifestyle,and improve the ability to identify,apply and evaluate health information,and promote the unity of knowledge and action.

Current status of professional quality of life of outpatient nurses in 8 grade-A tertiary hospitals in Sichuan Province and its correlation with uncivilized behavior in the workplace and psychological capital

YANG Maoqiong, ZHANG Hongying, LUO Yanfang

2025, 41(19):  2673-2678. 

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Objective To investigate the status quo of professional quality of life,workplace uncivilized behavior and psychological capital of outpatient nurses in grade-A tertiary hospitals in Sichuan Province,and to analyze the impact of workplace uncivilized behavior and psychological capital on their professional quality of life. Methods A cross-sectional study was conducted to select 324 outpatient nurses from 8 grade-A tertiary hospitals in Sichuan Province from June to July 2024.The professional quality of life scale,workplace uncivilized behavior scale and psychological capital scale were used for the survey,and the data were analyzed. Results The scores of each dimension of professional quality of life of 324 outpatient nurses in grade-A tertiary hospitals were （27.00±6.07）points for job burnout,（27.06±5.46）points for secondary traumatic stress,and （32.33±7.34）points for compassion satisfaction. The score of workplace uncivilized behavior was （35.08±7.97）points. The score of psychological capital was （77.55±20.29）points. Different marital status,professional title,average monthly income,exercise frequency,health status,sleep status,and whether they suffered from workplace violence were the main influencing factors of the professional quality of life of outpatient nurses（all P<0.05）. Pearson correlation analysis showed that the scores of job burnout and secondary traumatic stress of outpatient nurses in grade-A tertiary hospitals were positively correlated with the scores of workplace uncivilized behavior（r=0.265-0.546,all P<0.05）,and negatively correlated with psychological capital（r=-0.258-0.621,all P<0.05）. Compassionate satisfaction was negatively correlated with the score of workplace uncivilized behavior（r=-0.396-0.567,all P<0.05）,and positively correlated with psychological capital（r=0.285-0.669,all P<0.05）. Average overtime hours per week,health status,whether they suffered from workplace violence,workplace uncivilized behavior and psychological capital were the main influencing factors of job burnout（adjusted R²=0.536,F=42.466,P<0.01）,which could explain 53.6% of job burnout. Health status,workplace uncivilized behavior and psychological capital were the main influencing factors of secondary traumatic stress（adjusted R²=0.152,F=10.642,P<0.01）,which could explain 15.2% of secondary traumatic stress. Health status,whether they suffered from workplace violence,workplace uncivilized behavior, and psychological capital were the main influencing factors of compassionate satisfaction（adjusted R²=0.668,F=56.436,P<0.01）,which could explain 66.8% of secondary traumatic stress. Conclusion The professional quality of life of outpatient nurses in grade-A tertiary hospitals is at a medium level. Uncivilized behavior in the workplace is a risk factor for professional quality of life,and psychological capital is an important protective psychological resource. Managers should pay attention to the professional quality of life of nurses in special departments such as outpatient clinics,create a good organizational environment,and improve the level of psychological capital of nurses,so as to improve the professional quality of life of outpatient nurses.

Mediating effect of clinical nurses' self-care between perceived ethical leadership and work engagement in grade-A tertiary hospitals in Xi'an city

LIU Xingxing, HE Fang, ZHANG Jun, TIAN Tian, JI Yuanjiao, ZHONG Yuexia

2025, 41(19):  2679-2684. 

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Objective To investigate the mediating role of clinical nurses’ self-care between perceived ethical leadership and work engagement. Methods A convenience sampling method was used to select 539 clinical nurses from four grade-A tertiary hospitals in Xi'an City,Shaanxi Province from April to May 2024 to investigate using the perceived ethical leadership scale,the self-care scale,and the work engagement scale,and the data were analyzed. Results Clinical nurses' perceived ethical leadership scores were （37.97±7.36）points,self-care scores were （82.35±9.66）points,and work engagement scores were （34.67±6.63）points,with positive correlations between all three（all P<0.01）. Clinical nurses' self-care partially mediated between perceived ethical leadership and work engagement,with a mediation effect of 31.9%. Conclusion Clinical nurses' perceived ethical leadership can indirectly affect their work engagement by improving nurses' level of self-care. It is recommended that nursing administrators strengthen their own ethical leadership skills and create a favorable environment for clinical nurses to practice self-care,which in turn improves nurses' work engagement.

Spatial and temporal distribution characteristics of air pollutants in Gansu Province from 2016 to 2023

LI Meng, LIANG Ying, ZHANG Shixian, CAO Ke

2025, 41(19):  2685-2690. 

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Objective To explore the spatial and temporal distribution characteristics of inhalable particle（PM₁₀）,fine particle（PM_2.5）,NO₂,SO₂,CO and O₃ in Gansu Province from 2016 to 2023,in order to provide strong support and scientific basis for the prevention and control of atmospheric pollution in Gansu Province. Methods Based on data from National Environmental Monitoring Sites in Gansu Province from 2016 to 2023,the spatial and temporal variation characteristics and correlation of 6 major pollutants were analyzed. Results The distribution of different pollutant concentrations showed spatial differences,and the concentrations of PM₁₀,PM_2.5 and O₃ were higher in Hexi than in Hedong,while the concentrations of SO₂,NO₂ and CO were the opposite. The average annual concentrations of PM₁₀,PM_2.5,SO₂,NO₂ and CO in Gansu Province from 2016 to 2023 showed a downward trend,with declines of 3.27%,16.36%,48.14%,19.75% and 41.57%,respectively. In contrast,the average annual concentration of O₃ increased by 7.97%. The monthly average concentrations of PM₁₀,PM_2.5,SO₂,NO₂ and CO were in the form of “U”,with higher concentrations in autumn and winter and lower concentrations in spring and summer. The monthly average concentration of O₃ presented an inverted “U” distribution,with higher concentrations in summer than in winter. The daily concentrations of PM₁₀,PM_2.5,SO₂,NO₂ and CO presented double peaks and double valleys distribution,with the highest concentration of O₃ occurring at 16：00 and the lowest concentration occurring at 08：00. Conclusion Except O₃,the overall concentration of air pollution in Gansu Province has shown a positive trend from 2016 to 2023. In the future,Gansu Province should focus on O₃ pollution and continue to strengthen air pollution prevention and control measures to continuously optimize and improve air quality.

Chain mediating role of parental support on academic stress of junior high school students

SUN Yan, DU Chenyao, SUN Yichan, WU Jing, ZHOU Xihua

2025, 41(19):  2691-2694. 

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Objective To explore the effects of parental support on academic stress of junior high school students and its mechanism of action,analyze the mediating role of temperamental optimism and academic self-efficacy between parental support and academic stress of junior high school students. Methods In June 2023,550 junior high school students from three middle schools in Baoji City of Shaanxi Province and Lanzhou City of Gansu Province were surveyed using the parental support questionnaire,the academic stress questionnaire for middle school students,the academic self-efficacy scale and the life orientation test,and the data were analyzed. Results The scores of parental support,academic pressure,temperamental optimism and academic self-efficacy among 550 junior high school students were （61.04±13.20）,（21.45±3.52）,（17.58±3.99） and （63.31±14.05）points,respectively. There were statistically significant differences in the academic self-efficacy scores among junior high school students of different genders and grades（all P<0.01）. There were statistically significant differences in the scores of parental support and academic pressure among junior high school students of different genders and whether their parents were divorced（all P<0.01）. There was statistically significant difference in the score of temperamental optimism among junior high school students whose parents were divorced or not（P<0.05）. The parental support positively predicted the academic self-efficacy and temperamental optimism of junior high school students（r=0.311,0.321,both P<0.01）,negatively predicted the academic stress of junior high school students（r=-0.355,P<0.01）. The temperamental optimism negatively predicted academic stress of junior high school students（r=-0.378,P<0.01）. The academic self-efficacy negatively predicted academic stress of junior high school students（r=-0.411,P<0.01）,and positively predicted temperamental optimism of junior high school students（r=0.597,P<0.01）. The temperamental optimism and academic self-efficacy both played a mediating role between parental support and academic pressure in junior high school students,with the former having a mediation effect value of -0.054,accounting for 14.48% of the total effect,and the latter having a mediation effect value of -0.038,accounting for 10.19% of the total effect. The temperamental optimism and academic self-efficacy played a chain mediated role between parental support and academic pressure in junior high school students,with the chain mediation effect value of -0.043,accounting for 11.53% of the total effect. Conclusion The academic pressure of junior high school students is influenced by various factors,the parental support can not only directly affect the academic pressure of junior high school students,but also indirectly affect their academic pressure through the chain mediation of temperament optimism and academic self-efficacy.

Mediating effect of resilience between personality traits and career adaptability among nursing students

SUN Yuqing, ZOU Qunfeng, ZHANG Bixia, LIAO Xiaoyu, QIU Dingrong

2025, 41(19):  2695-2701. 

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Objective To understand the relationship between personality traits,resilience and career adaptability of nursing students,and to provide assistance in developing precise intervention plans to improve their career adaptability and guide their vocational education. Methods Eysenck personality questionnaire-short scale for Chinese,Chinese version of the 10-item Connor-Davidson resilience scale and college students' career adaptability questionnaire were used to investigate 208 students in a grade-A tertiary hospital in Guangdong Province,and the data were analyzed. Results The scores of resilience,career adaptability and each dimension of personality traits were （28.38±6.47）,（132.01±15.97）points,psychoticism（2.38±2.06）points,extraversion（7.57± 3.07）points,neuroticism（4.29±3.40）points and lying（3.88±3.65）points. Extroversion was positively correlated with career adaptability and resilience（both P<0.01）,psychoticism and neuroticism were negatively correlated with career adaptability and resilience（all P<0.01）,and career adaptability was positively correlated with resilience（P<0.01）. Resilience partially mediated the relationship between extraversion and career adaptation,neuroticism and career adaptation,with mediation effects accounting for 51.79% and 63.80% of the total effects,respectively. Resilience played a completely mediating role between psychoticism and career adaptability,accounting for 75.22% of the total effect. Conclusion The career adaptability of nursing students is above the medium level. Extraversion and neurotic personality can not only directly predict the career adaptability of nursing students,but also indirectly affect the career adaptability of nursing students through resilience like psychogenic personality.

Meta-analysis of the geographic distribution and temporal trend of HIV-1 molecular subtypes in the elderly population of China

FAN Xiaomi, LI Ningli

2025, 41(19):  2702-2708. 

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Objective To analyze the geographical and temporal changes of HIV-1 molecular subtypes in Chinese elderly population,and provide scientific basis for formulating targeted prevention and control measures. Methods Retrieve all relevant research literature published in databases such as Pubmed,ScienceDirect,Web of Science,CNKI,and Wanfang before August 12,2024,and use meta-analysis to estimate the combined proportion of HIV-1 molecular subtypes in the elderly population. Subgroup analysis was arranged by sampling area and time period,publication bias was evaluated by Begger's and Egger's test,and the stability of merger ratio was evaluated by sensitivity analysis. Results A total of 39 articles were included in this study,and CRF01_AE,CRF07_BC and CRF08_BC were the three most widely distributed subtypes in the elderly population in China. The merger ratio of CRF01_AE was 37.5%（95%CI：30.8%-44.1%）,CRF07_BC was 28.3%（95%CI：22.6%-34.1%）,and CRF08_BC was 21.0%（95%CI：17.2%-24.8%）. Subgroup analysis showed that the proportion of CRF01_AE subtype was the highest among the elderly in China in 2016 and before,and the proportion gradually decreased over time. After 2021,the proportion of CRF07_BC and CRF08_BC subtypes were higher than that of CRF01_AE,and the highest was CRF08_BC subtype. The proportion of CRF07_BC subtypes in the eastern part of China was the highest,while the proportion of CRF01_AE in the western and central regions was the highest. Conclusion The molecular subtypes of HIV-1 epidemic strains in the elderly in China are complex and diverse,and the proportion of each subtype changes with time in different regions. It is necessary to further strengthen the molecular epidemiological monitoring of people aged 50 and above to reduce the risk of AIDS transmission.

A review of the scope of literature study on intervention for burnout among operating room nurses

CHEN Tian, XIE Caixia, DAI Xiaoxia

2025, 41(19):  2709-2714. 

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Objective To analyze the intervention methods for burnout among nurses in the operating room,compare the specific content and intervention effects of different intervention program,and provide reference for the intervention of burnout among operating room nurses. Methods The research method of scope review was used to search for relevant literature in CNKI,Wanfang,VIP,PubMed,Web of Science,Embase,and CINAHL domestic and international databases,with a timeframe from the establishment of the database to March 1,2024,and to perform literature screening and data extraction. Results Twenty-six papers were included,of which 10 were randomized controlled studies and 16 were classified experimental studies. Interventions to alleviate burnout among operating room nurses were mainly at the individual level,organizational level,and a combination of individual organizations. Intervention methods included offline,online,and a combination of online and offline. 85%（22 articles） of the studies included in the literature reported significant effects of their interventions on burnout among operating room nurses. Conclusion Currently,there are many types of interventions for burnout among operating room nurses,but some studies have used only a single intervention method or a simple integration of different interventions,and future nursing administrators need to be realistic and have an in-depth understanding of the specific situation of operating room nurses to develop better intervention programs.

Health Management and Research

Investigation on the implementation of the "Two Permissions" policy in primary medical and health institutions in Tianjin

WANG Liping, XING Dafeng, YU Xiaomeng, LI Xue, GAO Yinghua

2025, 41(19):  2715-2720. 

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Objective To analyze the issues encountered during the implementation of the "Two Permissions" policy,aiming to provide references for better implementation of the "Two Permissions" policy. Methods Based on prior research,convenience sampling method was adopted to conduct a questionnaire survey on 233 personnel from over 20 primary medical and health institutions in several administrative districts of Tianjin,and the data were analyzed. Results The average score of the respondents' understanding of the "Two Permissions" policy was （2.90±1.40）points,among which personnel with higher professional titles,higher positions,and longer working years demonstrated a greater understanding of the "Two Permissions" policy（all P<0.05）. The primary factors impeding policy implementation included "the need for enhanced publicity and implementation of the 'Two Permissions'" "insufficient financial support and the necessity to adjust the financial investment structure" "the ambiguity in determining income costs and the extraction ratio of surplus funds",and "the absence of actionable guiding documents" Conclusion The implementation of the "Two Permissions" policy in primary medical and health institutions in Tianjin demands a multi-faceted policy environment. Feasible research considerations and suggestions are proposed from both the government and institutional levels to facilitate better policy implementation.

Overview

Research progress on personal-job fit of nurses

DUAN Lianmei, LI Qianxing, WANG Ying

2025, 41(19):  2721-2726. 

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Personal-job fit refers to the degree of fit between an individual and the job he or she performs,covering the match between the skills required for the position and the actual abilities of the individual,as well as the fit between the conditions provided by the work environment and the expectations of the individual. The level of this fit has a significant negative predictive effect on nurses as an occupational group,and can effectively reduce the risk of burnout,intention to leave,and other career-related adverse consequences. At the same time,it plays an indispensable role in promoting the sustainable and healthy development of the nursing profession as well as significantly improving the quality of nursing work. This study reviews the concept,current situation,assessment tools and influencing factors of nurse personal-job fit,and explored strategies to improve nurse personal-job fit,aiming to draw the attention of nursing managers to nurse personal-job fit,and to provide valuable references and inspirations for further related research and practice in China.

Research progress on influencing factors of nurse burnout

ZHANG Shuyong, WANG Ting, CHANG Qihang, YANG Yating, YIN Juan

2025, 41(19):  2727-2730. 

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Burnout is a widespread public health issue in society. Nursing staff,as a group with high workload,heavy professional pressure,and close interaction with patients,have a high incidence of burnout. The influencing factors of nursing burnout are complex,and the complex interactions among these factors jointly affect the level of nursing burnout. This article reviews the external and internal factors that influence nursing burnout,the external factors include age and length of service,family and marriage,sleep and night shift frequency,education and professional title,hospital grade and department,and salary and social support,and the internal factors include gender,psychological characteristics,personality traits,and coping styles. This article provides a review of the factors that influence nursing burnout,which can provide theoretical references for developing intervention strategies for nursing burnout in the future and clinical nursing practice.

Research progress on early warning strategies for adolescent mental health crises

WU Yuting, HAO Wanting, FAN Yunchao, ZHANG Yao

2025, 41(19):  2731-2735. 

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Mental health crisis refers to an urgent situation that may seriously impact an individual's mental health,caused by life events,trauma,mental health issues,or other factors. Mental crises can include suicidal crises,violent behaviors,post-traumatic stress disorder,anxiety,and depression. Mental health crisis interventions aim to provide timely support and assistance to alleviate the negative impact of the crisis on individuals. Research on strategies for early warning of adolescent mental health crises is increasingly receiving attention,as the adolescent stage is a crucial period for individual growth,and mental crises may have profound effects on their lives and futures. Therefore,governments,schools,and social organizations can collaborate to provide professional training and resource support,including mental health counseling and guidance,to help parents and educators better address adolescent mental health crises. Strategies for early warning of adolescent mental health crises need to consider identification,intervention,comprehensive approaches,and other aspects comprehensively. Future research and practices should emphasize interdisciplinary collaboration and continue to explore more personalized and accurate early warning systems to safeguard the mental health of adolescents. In addition,parents and educators should also pay attention to early warning signals and closely monitor changes in adolescent behavior and emotional fluctuations,including but not limited to changes in emotional behavior,poor social relationships,decreased interest in hobbies,and the emergence of suicidal or self-harming behaviors. This paper reviews the identification and early warning strategies for adolescent mental health crises,aiming to provide reference for future research and practice.